Provider Demographics
NPI:1194445387
Name:ANDREWS, RICHARD JASON (DMD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JASON
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:201 WESTBROOK DR APT C04
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-2489
Mailing Address - Country:US
Mailing Address - Phone:984-234-9241
Mailing Address - Fax:
Practice Address - Street 1:385 S COLUMBIA ST BRAUER HILL ROOM 201 CAMPUS 7450
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-537-3942
Practice Address - Fax:919-537-3754
Is Sole Proprietor?:No
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC151384122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist